Gross, Jason P.

Gross, Jason P. is an individual health care provider with primary practice located at 2460 Willamette St , Eugene OR 97405-3169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gross, Jason P. can be contacted via phone (541) 683-3744.

Contact Information

Primary practice address
2460 Willamette St Eugene OR 97405-3169
Phone: (541) 683-3744
Fax: (541) 683-6672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301077983 Michigan
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD153855 Oregon

Profile Details

NPI number 1609862846
LBN Legal business name Gross, Jason P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 30th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609862846 NPPES
Oregon MEDICAID 500687131
Oregon MEDICAID 104967123
Oregon Other 180H27019
Oregon Other P00390624
Oregon MEDICAID 104983299
Oregon Other 180H27019
Oregon Other 382155439

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